It’s possible that the dose can be lowered, but the person in question should only undertake that in consultation with his or her physician. Dr. Phinney considers metformin an extremely safe drug, and he will often keep patients on metformin, he says, even after withdrawing all their other blood-pressure and blood-sugar medications.
Metformin & keto... can I do both?
ChristabelD
(Christabel)
#22
Hey! I’m also on Metformin for PCOS and doing a keto-style low-carb diet, so I totally get your confusion. Yes, it’s absolutely possible to do both safely, I’ve been doing it for a while. Metformin can actually complement a keto diet by improving insulin sensitivity, and that’s great for managing PCOS symptoms. I order high-quality Metformin from this reliable pharmacy: vitacourier.net/categories/Diabetes/Metformin — great price and amazing results, I hope it’ll be helpful for you too!
The rise in ketones might just be your body adjusting, especially since Metformin can enhance fat metabolism a bit. If you’re feeling fine (no nausea, no weakness, no fruity breath), then 8 mmol/L could just be your personal “normal” for now, but of course, keep monitoring and talk to your doctor if anything changes. I’ve personally stayed under 20g carbs with no issues, and it’s worked really well for me—just make sure you’re staying hydrated and getting your electrolytes in!